| NPI | 1134112485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 046716) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: MN R 093453-2) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2009-09-08 |